Individual provider Active NPI

Randa Janell Spencer, FNP-C

  • Family Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1982815494
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0004332-NP Issued in CO
Practice address
13631 Colorado Blvd
Thornton, CO 80602-7051
Phone
(303) 252-2960
Fax
(303) 252-2964
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0004332-NP CO Primary
Nurse Practitioner 363L00000X 4332 CO

Addresses

Primary practice location

13631 Colorado Blvd
Thornton, CO 80602-7051

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4123

Other names 1

  • Randa Casados Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021000583 CO Practitioner - Nurse Practitioner 8628203056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

13631 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 252-2960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4332COMDNurse Practitioner
APN.0004332-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Mar 13, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 13, 2023 Accepting new patients
Uchealth Community Services Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

4404 Barranca Ln
Unit 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

5965 Firestone Blvd
Firestone, CO 80504
Phone (720) 652-7055

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

Interoperability endpoints

  • Direct secure messaging: randa.spencer.1@24476.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1982815494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4123",
            "fax_number": "970-624-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13631 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-252-2960",
            "fax_number": "303-252-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "RANDA",
        "middle_name": "JANELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0004332-NP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "4332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDA",
            "last_name": "CASADOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.